MEDICARE: DR. PAOLA VERONICA DAZA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME151867	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205139276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAOLA VERONICA DAZA M.D.

Provider Business Mailing Address
First Line	:	1395 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-5710
Country	:	US
Telephone Number	:	305-827-2977
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5529
Country	:	US
Telephone Number	:	305-827-2977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	07/20/2021

Similar Medicare Providers

1609307917 — MARIA C CHACIN
Practice Location Address:

416 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-457-8288
Practice Fax: 954-457-8288

1114914793 — LINA RAMIREZ MD
Practice Location Address:

410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-454-5777
Practice Fax: 954-320-7521

1760417265 — MRS. ANETA EVELYN SPADACCINI NP, APN
Practice Location Address:

410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-454-5777
Practice Fax: 954-320-7521

1639382922 — DIGNA ACOSTA
Practice Location Address:

410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-454-5777
Practice Fax: 954-320-7521

1083802052 — DR. STEPHEN B ROTHENBERG DDS
Practice Location Address:

416 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-457-8288
Practice Fax: 954-457-8819

1588829105 — DR. NGINA MUIGAI MD
Practice Location Address:

410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-5529

Practice Phone: 954-454-5777
Practice Fax: 954-320-7521

Directions to “ DR. PAOLA VERONICA DAZA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.